Definitions

Acute Inpatient Psychiatric CareCare you receive in a hospital. We must approve this type of care.

AppealTo request a review of your grievance, service request, service changes or service authorizations.

Case ManagementServices to help you get care from other agencies.

ConsultationAdvice given from one professional to another involved in your care.

Daily Structure and SupportPrograms to help you with daily tasks or to live in the community. They also help you get along with other people.

Emergency ServicesA behavioral health problem that cannot wait until the following day, which requires immediate attention or will jeopardize the health of the GOBHI member.

EvaluationA way to decide your need for behavioral health services.

Excluded ServicesBehavioral health services that are not covered. You may have to pay for these services. You will have to pay if you know the services are excluded and you accept the care anyway. This includes any service provided in an emergency care setting that is not an emergency.

GrievanceAn expression of dissatisfaction that includes a
desired resolution.

Interpreter ServicesLanguage or sign interpreters for persons
who do not speak the same language as the provider or for
persons who are hearing impaired.

Job Opportunities and Basic Skills (JOBS) TreatmentPrograms that help you function better in employment settings. Limited Services
Behavioral health services that are only partly covered. You may have to pay for these services. You will have to pay if you know the services are limited and you accept the care anyway. This includes services that go beyond those needed to find out what is wrong.

Residential Care ProgramA facility providing room, board and mental health services. The program helps you function at home or school and in the community.

Service AreaThe counties in Oregon we serve. Our area includes Baker, Clatsop, Columbia, Gilliam, Grant, Harney, Lake, Malheur, Morrow, Sherman, Tillamook, Umatilla, Union, Wallowa, and Wheeler counties. You must live in one of those counties to receive our services.

Skills TrainingA program to help you function socially. It helps you manage your money. It also helps you eat right and teaches you how to cook.

Therapeutic Group HomeA care setting that helps you develop home skills.

TherapyCare meeting the goals of your treatment plan.

Treatment Foster CareA program that helps you develop skills allowing you to live alone.

Urgent CareServices provided within the next two days. You may use these services when your needs cannot wait for more than two days.